Staff Nurse - RN - Medical Management jobs in the United States

Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - Medical Management assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Additionally, Staff Nurse - RN - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2020 Salary.com)

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Travel Cath Lab RN, Management/UM/QA
  • Titan Medical
  • Lansing, MI
  • Cath Lab RN, Management/UM/QA * Start Date: 8/24/2020 * Shift: Day * Length: 13 weeks Health care ... Titan Medical is one of the top medical staffing agencies because we provide superior support to ...
  • just now

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Center Medical Specialist - Nurse / LPN / RN / Paramedic
  • Grifols
  • Colorado Springs, CO
  • ... Staff confidentiality. · Reports all unsafe situations or conditions to Center Management. · ... Paramedic or Registered Nurse, Nurse Practitioners or Physician Assistant. · Current CPR ...
  • 3 hours ago

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Trauma Process Improvement Nurse (RN)
  • Orange Park Medical Center
  • Orange Park, FL
  • You will work closely with medical staff, administration and nursing units to fulfill these ... You will identify opportunities for improvement and manage the performance improvement program
  • yesterday

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Registered Nurse Med Surg Telemetry
  • Memorial Hospital of Jacksonville
  • Jacksonville, FL
  • You will manage efficient flow of patient care including screening, preparation for exam, providing ... staff, along with technological advances, growth and expansion to meet the ongoing needs of our ...
  • yesterday

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CVICU Registered Nurse
  • Orange Park Medical Center
  • Orange Park, FL
  • At Orange Park Medical Center, we offer an array of medical, dental, and vision packages as well as ... You will manage efficient flow of patients including screening, preparation for exam, providing ...
  • yesterday

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Travel Nurse RN - Med Surg / Telemetry - $2,030 per week
  • NurseFly Travel Nursing
  • Seattle, WA
  • ... career management platform. With over 2,000 open travel healthcare positions and offices in San ... Our team of leaders has over 100 years of staffing and recruiting experience that span several ...
  • 2 days ago

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Registered Nurse / Medical Nursing Unit 4S
  • Ascension
  • Grand Blanc, MI
  • Collaborates with patient/family, hospital staff, and community agencies to develop discharge plans ... Case Manager to ensure appropriate referrals initiated prior to discharge. * ____ 7. Reviews ...
  • 4 days ago

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Travel Nurse RN - Case Management - $2,520 per week
  • NurseFly Travel Nursing
  • Quincy, CA
  • Skyline Med Staff Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Quincy, California. Job Description & Requirements * Specialty: Case Management * Discipline: RN * ...
  • 4 days ago

Income Estimation for Staff Nurse - RN - Medical Management jobs
$74,643 to $87,300